MedCheckWize

Maryland vs South Dakota: Medicare Costs (2026)

Side-by-side comparison of Medicare spending, premiums, and healthcare coverage.

MetricMaryland (MD)South Dakota (SD)
Medicare Spending/Capita$8,090$13,396
Medicare Enrollees3,155,8021,224,124
Medicaid Enrollees4,241,0701,665,498
Part B Premium$185/mo$185/mo
Part D Premium (Avg)$36/mo$57/mo
Medigap Premium (Avg)$152/mo$278/mo
Medicaid ExpansionYesYes
Uninsured Rate5.6%4.1%

Top Procedure Costs

ProcedureMarylandSouth DakotaDifference
Liver Transplant$165,769$154,393+$11,375
Kidney Transplant$111,865$125,853$-13,987
Heart Valve Replacement$94,641$99,495$-4,854
Coronary Artery Bypass Graft (CABG)$82,925$69,622+$13,304
Defibrillator Implantation (ICD)$53,933$53,824+$110
Spinal Fusion$38,882$57,744$-18,862
Total Knee Replacement$29,698$30,772$-1,074
Pacemaker Implantation$29,303$29,869$-566
View MarylandView South Dakota

Frequently Asked Questions

Which state has higher Medicare spending, Maryland or South Dakota?

South Dakota has higher Medicare spending at $13,396 per capita vs $8,090 in Maryland.

Which state has a lower uninsured rate?

South Dakota has a lower uninsured rate of 4.1% compared to 5.6% in Maryland.

Have both Maryland and South Dakota expanded Medicaid?

Maryland has expanded Medicaid. South Dakota has expanded Medicaid.